Mrs Meredith Marie Thompson, PA is a medicare enrolled "Physician Assistant - Medical" in Black Creek, Georgia. Her current practice location is
101 War Fighter Way, Black Creek, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 851-3277.
Mrs Meredith Marie Thompson is licensed to practice in Georgia (license number 008634) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194004051.
Provider's Profile
Full Name | Mrs Meredith Marie Thompson |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 101 War Fighter Way, Black Creek, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194004051
- Provider Enumeration Date: 08/10/2011
- Last Update Date: 06/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810321221
- Enrollment ID: I20191217003339
Medical Identifiers
Medical identifiers for Mrs Meredith Marie Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194004051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 008634 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Meredith Marie Thompson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Meredith Marie Thompson, PA 101 War Fighter Way, Black Creek, GA 31308-5731 Ph: (912) 851-3277 | Mrs Meredith Marie Thompson, PA 101 War Fighter Way, Black Creek, GA 31308-5731 Ph: (912) 851-3277 |
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